Previous Employment References

To Named Reference: The applicant named above is being considered for employment as a with [Company]. The applicant has listed you as a reference and claims to have been employed by you as a from (Job Title) (Date) to . (Date) In order to be considered for employment the applicant is required to obtain a reference from you. Without the information requested below we cannot consider the applicant for employment. Please complete the information requested below and fax this form back to us as soon as possible at: